Health Plan Accreditation
We are committed to ensuring quality services are delivered to our members. We voluntarily submit to evaluation by the largest health plan accreditation organizations. Accreditation not only involves a rigorous review of consumer protection and quality improvement systems, but also requires health plans to submit audited data on key clinical and service measures.
Our Georgia health plan achieved Excellent Accreditation status from the National Committee for Quality Assurance (NCQA). NCQA’s Excellent Accreditation status is reserved for the best health plans in the nation. It is only awarded to those plans that meet or exceed NCQA’s rigorous requirements for consumer protection and quality improvement and deliver excellent clinical care.
We have achieved Commendable Accreditation status from the NCQA for our affiliated health plans in Virginia, New Jersey, and Tennessee. Achieving an accreditation status of Commendable from NCQA is a sign that a health plan is serious about quality. It is awarded to plans whose service and clinical quality meet or exceed NCQA’s rigorous requirements for consumer protection and quality improvement.
We have achieved the status of Accredited from the NCQA for our affiliated health plan in Ohio. NCQA awards an accreditation status of Accredited to organizations with programs for service and clinical quality that meet basic requirements for consumer protection and quality improvement.
Our health plans in New Mexico and Nevada are NCQA accredited as New Health Plans. NCQA's New Health Plan Accreditation Program applies to health plans that are less than 36 months old. The program is distinct from NCQA's Health Plan Accreditation Program.
Our Florida plan is accredited by the Accreditation Association for Ambulatory Health Care (AAAHC).
Disease Management Program Accreditation
The following disease management programs are fully accredited by NCQA:
- Congestive Heart Failure
- Chronic Obstructive Pulmonary Disease
- Coronary Artery Disease
- Major Depressive Disorder
Amerigroup received a final score of 100 percent on our Disease Management (DM) National Center for Quality Assurance (NCQA) survey, receiving Accredited with the additional distinction of Performance Reporting.
Privacy Accreditations from URAC
Amerigroup's corporate offices in Virginia Beach, VA as well as our health plans in Florida, Georgia, Ohio, Maryland, New Jersey, New York, Nevada, New Mexico, Tennessee and Texas have achieved Utilization Review Accreditation Commission (URAC) HIPAA Privacy Accreditation.